Abstract: Objective To explored the choice of the first cesarean incision and its affection to the secondary caesarean operation.Method 104 cases who had secondary cesarean delivery ,according to the first cesarean sec incision approach,divided into longitudinal incision group 57 cases and crosscutting 47 cases.Compared two groups of secondary laparotomy surgery time,fetal childbirth time,total operative time,intraoperative blood loss; Postoperative newborn Apgar score; Abdominal cavity adhesion degree.Results (1) the longitudinal incision group,fetal childbirth,total operation time in laparotomy and intraoperative blood loss,were significantly lower than that of the crosscutting groups (P<0.05).(2) The Apgar score in two groups was (P>0.05).(3) a longitudinal incision group compared with crosscutting group,degree of formation of celiac adhesion was (P<0.05).Conclusion The second longitudinal incision cesarean surgery is superior to the celiac wall crosscutting,both of them are needed to choose according the actual conditions.

Key words: Abdominal incision, Secondary cesarean delivery, Adhesion